Change in Defense Mechanisms During a Brief Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder.

IF 1.6 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Nervous and Mental Disease Pub Date : 2024-06-01 DOI:10.1097/NMD.0000000000001770

Viviane Porto Tabeleão, Carolina Coelho Scholl, Katharina Pereira Kammer, Mariana Bonati de Matos, Jéssica Puchalski Trettim, Rafaelle Stark Stigger, Andressa Jacondino Pires, Luciana de Avila Quevedo

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Abstract

Abstract: Defense mechanisms (DMs) are strategies used by the individuals to protect the ego. Therefore, compulsive behaviors in obsessive-compulsive disorder (OCD) can be recognized as DMs. We analyzed how DMs changed in a brief cognitive behavioral therapy (CBT) for OCD. This was a quasi-experimental study with 92 OCD patients (aged 18-60 years). We used the Mini International Neuropsychiatric Interview to confirm OCD diagnosis, and we assessed the DMs with the Defense Style Questionnaire at three time points. Through a latent change score modeling, we found that the mature mechanism presented a constant change during the therapy. This mechanism increased in average 0.37 points at each measured moment of CBT, showing a linear trajectory. Neurotic and immature mechanisms showed no significant changes during therapy. The increased use of the mature mechanism can be an indicator of improvement in OCD treatment, showing that patients intensified their more adaptive responses to conflicts.

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强迫症简短认知行为疗法中防御机制的变化。

摘要：防御机制（DM）是个体用来保护自我的策略。因此，强迫症（OCD）中的强迫行为可被视为防御机制。我们分析了在针对强迫症的简短认知行为疗法（CBT）中，DM是如何变化的。这是一项针对 92 名强迫症患者（18-60 岁）的准实验研究。我们使用迷你国际神经精神访谈确认了强迫症诊断，并在三个时间点使用防御风格问卷评估了 DMs。通过潜在变化得分建模，我们发现成熟机制在治疗过程中呈现持续变化。这种机制在 CBT 的每个测量时刻平均增加 0.37 分，呈现出线性轨迹。神经质机制和不成熟机制在治疗过程中没有明显变化。成熟机制使用的增加可以作为强迫症治疗改善的指标，表明患者加强了对冲突的适应性反应。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nervous and Mental Disease 医学-精神病学

CiteScore

2.90

自引率

5.30%

发文量

233

审稿时长

3-8 weeks

期刊介绍： The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.